Kodi Ankylosing Spondylitis, zizindikilo zazikulu ndi momwe matenda amapezidwira

Zamkati

• Ankylosing spondylitis zizindikiro
• Zoyambitsa zazikulu
• Momwe matendawa amapangidwira
• Chithandizo cha ankylosing spondylitis

Ankylosing spondylitis, yomwe imadziwikanso kuti spondyloarthritis ndipo, munthawi yayitali kwambiri, ankylosing spondyloarthrosis, ndi matenda osachiritsika otupa omwe amadziwika ndi kuvulala kwa msana komwe ma vertebrae amaphatikizana, zomwe zimabweretsa zizindikilo monga zovuta kusuntha msana. ndi kupweteka komwe kumawongolera poyenda koma kumawonjezeka popuma.

Nthawi zambiri, chotupacho chimayamba mgulu la sacroiliac, pakati pa mafupa a chiuno ndi lumbar vertebrae yomaliza, kapena paphewa ndipo imayamba kukulira, kukhudza pang'onopang'ono mafupa ena onse a msana, omwe angapangitse kuti munthu achotsedwe ntchito, kuyambira molawirira kupuma pantchito.

Chifukwa chake, zizindikiritsozo zikangowonekera, ndikofunikira kuti munthuyo akaonane ndi dokotala wa mafupa kuti ayesedwe kuti apeze ankylosing spondylitis ndipo chithandizo chikuyambitsidwa, kupewa zovuta ndikukweza moyo wamunthu.

Ankylosing spondylitis zizindikiro

Chizindikiro chachikulu cha ankylosing spondylitis ndikumva kupweteka kwakumbuyo komwe kumakoma nthawi yochita masewera olimbitsa thupi, koma kumawonjezeka munthu akapuma. Zizindikiro zina za ankylosing spondylitis ndi:

• Kupweteka kwa msana m'dera lomwe lakhudzidwa;
• Zovuta poyenda msana, monga kutembenuzira nkhope yanu chammbali;
• Kulepheretsa kusunthika kwa lumbar mu nkhwangwa za 3;
• Kuchepetsa kukula kwa chifuwa;
• Pakhoza kukhala kutengeka kwa dzanzi ndi / kapena kumva kulasalaza mmanja kapena miyendo;
• Kuuma m'mawa;
• Ululu umayenda bwino ndikumayenda ndikuwonjezeka ndikupuma;
• Pakhoza kukhala kukonzanso kwa lumbar, kuchuluka kwa kyphosis ndi / kapena kuyerekezera kwa mutu patsogolo;
• Kutentha kwakukulu, pafupifupi 37ºC;
• Kutopa ndi mphwayi.

Zizindikiro nthawi zambiri zimakhazikika pang'onopang'ono ndipo pazaka zimayamba kufalikira komanso pafupipafupi. Kuphatikiza apo, ngati sipapezeka matenda kapena chithandizo chokwanira, zovuta zina zimatha kuchitika, chofala kwambiri kukhala chomera fasciitis ndi uveitis, chomwe chimafanana ndi kutupa kwa uvea, womwe ndi dera la diso lomwe limakhala ndi iris, thupi la ciliary choroid.

Zoyambitsa zazikulu

Zomwe zimayambitsa kuyambitsa ankylosing spondylitis sizikudziwika, komabe kwadziwika kuti matendawa amakhudzana ndi kupezeka kwa antigen inayake mthupi yotchedwa HLA-B27, yomwe imatha kuyambitsa mayankho achilendo amthupi, kuchititsa matenda.

Momwe matendawa amapangidwira

Kuzindikira kwa ankylosing spondylitis kumachitika potengera mayesero ena ojambula, monga ma X-ray, scintigraphy ya mafupa ndi tomography yolembera ya sacroiliac olowa ndi msana, zomwe zotsatira zake ziyenera kutanthauziridwa ndi adotolo. Kuphatikiza apo, kuyesa kwa serological kwa HLA-B27 kutha kulimbikitsidwa ndi adotolo, chifukwa antigen iyi imakhudzana ndi matendawa.

Kuphatikiza apo, kupezeka kwa zizindikiritso kwakanthawi kofanana kapena kupitilira miyezi itatu kuyenera kuyesedwa ndi adotolo kuti atsimikizire matendawa, kuphatikiza pakuwona ngati pali kuwonongeka kwa grade 2 kapena 4 m'malo awiri a sacroiliac, kapena giredi 3 kapena 4 mgulu limodzi la sacroiliac.

Chithandizo cha ankylosing spondylitis

Chithandizochi chimathandiza kuthetsa zizindikilo, kupewa kupita patsogolo kwa matenda komanso kuyambika kwa zovuta, ndikuwonetsetsa kuti moyo wamunthu uli wabwino. Chifukwa chake, atha kulimbikitsidwa ndi a orthopedist kuti azigwiritsa ntchito mankhwala a analgesic, anti-inflammatory and muscle relaxant, monga:

• Indomethacin: 50 mpaka 100 md / tsiku;
• Diclofenac sodium: 100 mpaka 200 mg / tsiku;
• Naproxen: 500 mpaka 1500 mg / tsiku;
• Piroxicam: 20 mpaka 40 mg / tsiku ndi
• Aceclofenac: 100 mpaka 200 mg / tsiku.

Kuphatikiza kwa mankhwala ndi mlingo ayenera kuperekedwa ndi dokotala atawunika kukula kwa zizindikilozo. Mosasamala kanthu za kukula kwa zizindikiritsozo, chithandizo chamankhwala ndichofunikanso polimbikitsa kukula kwa mayendedwe olumikizana ndikuwonjezera kusinthasintha, motero kumathandiza kuthetsa zizindikilo za ankylosing spondylitis.

Kutengera zaka za wodwalayo komanso zochitika za tsiku ndi tsiku, kuchitidwa opaleshoni yopangira ziwalo kungalimbikitsidwe kuti musinthe mayendedwe osiyanasiyana. Kuchita masewera olimbitsa thupi kuphatikiza pakukula kwa zizindikilo, kumapereka mphamvu zambiri komanso mawonekedwe. Njira zachilengedwe monga kutikita minofu, kutema mphini, auriculotherapy, ndi zina zingagwiritsidwe ntchito kuchepetsa ululu. Kuphatikiza apo, kudya ndi wowuma pang'ono kapena kusowa komwe kwawonetsedwanso kukhala kothandiza pobweretsa mpumulo ku zowawa ndikuchepetsa kukula kwa matendawa.

Ndikofunikira kuti wodwalayo adziwe kuti chithandizocho chikuyenera kuchitika kwa moyo wonse chifukwa ankylosing spondylitis ndipo alibe mankhwala. Dziwani zambiri za chithandizo cha ankylosing spondylitis.